by Caroline Fife, M.D. | Oct 4, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
On September 18th, 2024, Erica Everhart and Zach Bredl posted an article on the Care Journey website about the impact of fraud and abuse in value-based care. Spending on CTPs/skin subs is not the only fraud problem faced by Accountable Care Organizations (ACOs),...
by Caroline Fife, M.D. | Oct 2, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
I’ve discussed the fact that nearly everyone is being audited by Medicare on their charges for Cellular Tissue Products (CTP’s) / Skin Substitutes. Depending on the type of audit, a practitioner can have to pay back not only the money they received for the...
by Caroline Fife, M.D. | Sep 18, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests
Hi Dr. Fife, I’m sure you’re receiving plenty of feedback on this topic, but regarding your question about whether providers can receive discounts on ASP products, I’ve consistently been told the answer is yes… at least, I hope it’s yes—otherwise, we’re all in...
by Caroline Fife, M.D. | Aug 23, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, Skin Perfusion Pressure (SPP)
Last week I gave a talk at the Amputation Prevention Symposium entitled, “Elevate the CLI Patient’s Voice: Why it is so Important to do the Right Thing?” I have to confess that when the meeting organizers first asked me to explain why it’s important to do the...
by Caroline Fife, M.D. | Aug 14, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
Susan Paquette, the VP of the Wound division of SmartTRAK, recently posted an article on that company’s blog about the Cellular Tissue Product (CTP) / skin substitute industry. SmartTRAK provides market intelligence on industry trends and has been closely watching the...
by Caroline Fife, M.D. | Jul 19, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
District of Arizona | Seven Charged in Arizona as Part of the Department of Justice’s 2024 National Health Care Fraud Enforcement Action | United States Department of Justice The fallout continues from the indictments of Alexandra Gehrke and Jeffrey King on charges of...
by Caroline Fife, M.D. | Jun 28, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
Yesterday (June 27th) the Department of Justice (DOJ) announced that the two wound care company owners have been accused of accepting more than $330 million in kickbacks as part of a scheme to fraudulently bill Medicare for amniotic grafts. The report states that more...